Saint Matthews Ambulance Service of the Midlands, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

334 Issued in SC

Legal business name

SAINT MATTHEWS AMBULANCE SERVICE OF THE MIDLANDS, LLC

Practice address

454 Cromer Rd
Lexington, SC 29073-9488

Phone

(803) 445-2600

Fax

(803) 445-2300

NPI assigned

Jun 5, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly A Melton

Title

Asst Director

Phone

(803) 445-2600

Specialties & licenses 1

Addresses

Other names 1

• For Life Medical Transport Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1891056933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 CROMER RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290739488",
            "telephone_number": "803-445-2600",
            "fax_number": "803-445-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 CROMER RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290739488",
            "telephone_number": "803-445-2600",
            "fax_number": "803-445-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MATTHEWS AMBULANCE SERVICE OF THE MIDLANDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASST DIRECTOR",
        "authorized_official_telephone_number": "803-445-2600"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": "334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "For Life Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "For Life Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Blake Tyler Samper, DDS
• Kathryn Rogers Sample, DMD

• Ambulance in Lexington, SC
• Providers in Lexington, SC by specialty
• Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.